Doreen M Ciancaglini, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

08931 Issued in RI

Practice address

1169 Mineral Spring Avenue
North Providence, RI 02904-4102

Phone

(401) 725-3888

NPI assigned

Nov 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northprovidencepediatrics

  • Pediatrics Physician
  • North Providence, RI
  • NPI 1992825293
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407933419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1169 MINERAL SPRING AVENUE",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044102",
            "telephone_number": "401-725-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 MINERAL SPRING AVENUE",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044102",
            "telephone_number": "401-725-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIANCAGLINI",
        "first_name": "DOREEN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "08931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "20614-7",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS MA",
            "identifier": "008931",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "627126371",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Destiny Lee Chearino, PT, DPT
• Souad Cheteyan, APRN, BSN, M.ED, MSN
• Yukyi CHI
• Robin Chin, RPH
• Amanda Chirlin, DPT
• Raymond E Ciarleglio Jr., RPH
• Leonard Americo Cioe Jr., BSN-RN
• Daryl J Cioffi, M.ED, C.A.G.S., LMHC
• Claude E Younes MD Inc
• Clear Mind Counseling LLC

• Pediatrics Physician in North Providence, RI
• Providers in North Providence, RI by specialty
• Pediatrics Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.